04-101713 4111
City of Federal Way •
Community Development Services Building - Multi Family Permit #:04 - 101713 - 00 - MF
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: STONEHAVEN APTS,BUILDING 12
Project Address: 1900 SW CAMPUS DR Parcel Number:132103 9103
Project Description: ALT-Re-roofing over existing shingle roof with new 30-year laminate shingle roofing,taking out old
vents&skylights,installing new metal vents and skylights in same location. BUILDING 12
Owner Applicant Contractor Lender
UDK KENTON LP CIO UNITED DO] MOWERY ROOFING*DAVID MOV MOWERY ROOFING*DAVID MOV-NONE
1900 SW CAMPUS DR 10308 JOVITA BLVD E MOWERR*07304 11/7/04
FEDERAL WAY WA 98023 PUYALLUP WA 98372 10308 JOVITA BLVD E
PUYALLUP WA 98372 NONE
Includes:
Census category: 555-Non-st #1 #2 #3 #4
Occupancy Group: R-1
Construction Type: Type V_N
Occupancy Load:
Floor Area(Sq.Ft.): ^I
Census Category 555-Non-structural roofing p Mechanical No
Plumbing No Will Certificate of Occupancy be Issued? No
Zoning Designation RM 2400
CONDITIONS:
1.Subject to field inspection.
2.This decision shall not waive compliance with future City of Federal Way codes,policies,or standards relating to the
subject proposal.
PERMIT EXPIRES November 3,2004.
Permit issued on May 7,2004
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way. / /e" (Owner or agent: Date: 5 4
Framing:
Date
Roof sheathing:
Date
FINAL inspection: 2 -Y(-or
Date
F., rv. � ; ./>, Of .- .4
Federal Way cEIVEDPERIVIIT J
OOMMUMIYDEVFI.OPIdF.M'SERVICES SF F O ME EL PL DE EN FP
33530FIRST ERALWWAY Y,WAN•P BOX 3-9718 9718 MAY 0 PLICATION /
FEDERAL WAY,WA 98063-9718 �
2536614115•FAX 253-6614129 /
,uwwatuotFederalwa u.com
The ollowin• is re.u_t;� 'r s:;s1 • ..' ,c• .fete a..lication will not be acce.ted. Please •rint le•ibl (in ink)or
. .:..- PROPERTY�`
IN�FORMATION
SITE ADDRESS go !NV tf� �"r ' `V/ - SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - LOT SIZE(sf7
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal desoipeon)
' ,:_ PROJECT INFORMATION
TYPE OF PERMIT SBUILDING ❑ PLUMBING 0 MECHANICAL
I ❑ DEMOLITION ❑ ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM -
PROJECT DESCRIPTION(Provide detailed description of work included on this permit ony�.l }-(A�(V ( c(4� U _
' 'Lo•-A,3 0vc1 +k_ fop c 4- i--41Q oIfQ /1,Dc eckl'/3 L) + 4-{.t di() v°eits
Ctnp "54-1:1linj ne1..J o.-es- (\eo ►Me- 1 (`el p 1q« c42 4-4142. CI 160 c .'IeS 4.1,0
,'e tJ .SIC l'-i,4
.
C PROJECT NAME(Name of Business or Owner Last Name) . 1( 4C XVe✓1 si ! I 'L4')(7 IL--
-
-, - -"PEOPLE INFORMATION
PROPERTY NAME5.1.7thizzy L7p� I D / t/ /�� //JYIRIMMAnR�fPHONEy) l 7 0y��
OWNER . Di< e. .r`► V/t_ lel �b C��J�'��'"l t, ai6 n'(/ IONS F�.��i�!"/
MgIG ADDRESS /, ,�'���Q �' CITY,STATE ZIP ^���� rn_ •
11 t�/(m/ /n(�f,�J� �r,�d%�I��l (�$ TViI�JI /�•(/ I r✓/L/fir
CONTRACTOR COMPANY NAME /n� r 1 APPLICANT NAME OFFICE PHONE
atierRCcr i.- '�vi ? 6104Je.7 (�5 3 ) $fig -/6,32
MAIUNG ADDRESSt \ E ITY,STATE,ZIP 1 (�p'7-7 CELL PHONE
i°CIT3°?F LTO WAY u}n. 134-v�S LICENSE NUMBER y4/Itin "`tet+EXPIRT"N /8J c (.?5-3
DATE .}UM)NUMBER -Out
- - - (' I / (Ls,3 ) yea - 8aoS
B L
CONTRACTOR'S REGISTRATION NUMBER(copy of cud regained with each application' EXPIRATION DATE
f i t2R . 07304/ // / 7 /aOO/
It—APPLICANT COI NAME ' APPLICANT NAME OFFICE PHONE
���/// AI ���, r�v�' ( ) -
MAILING ADDRESS -, / CITY,STATE,ZIP CELL PHONE
(
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect ❑ Tenant ❑Agent ❑ Other(Describe) ( ) -
CONTACT NAM tit
Ve 0,614Nv P��HONE_J`
- C'Z�� E-MAIL ADDRESS
LENDER NA E ✓z\�x/
Per RCW 19.27.095: Lerzder information is
required�f project value exceeds$5,000 I� / �� �Ng eeAt T�it -
MAIUNG ADDRESS • ATA ZIP `
/
. • DETAILED BUILDING INFORMATION .
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED W01 ..,...$ /3, 6 G
___
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGIILINE 0 PRIVATE(SEPTIC)
BASEMENT
Off' E BY LAW .fig4.-
FIRST REOISTED_ ;f ' - t t'i
• r.:
SECOND . T CONT
S:P E C' I AL' 'Y� • � ,
" i5 •
E.XP DATE ;,
THIRD REG' ST -. r
FOURTHCLBE MOW
ERS * 0 30
1�l4. 1 / 0 • . ,
ADDITIONAL 0 9 2 `2 / 1 9 3 �
EFFECT'IVE ' DATE
DECK(COVE -
GARAGE/CA
HOW MANY F. MOWERY ROOF ING
V
**NEW HOMES 10 3 0 8 JOVI TA BLD E
•
PJYALLUP:. WA 9 8 3 7 2
Indicate j
MECHANICAL ..m , .
Value ofMecha) 1:-. 6 at . ..� w - , ?:. w•. n- .Nf(1, 1 N.r ji '.C�`�,.D tCC t�j x
• a rK • -). I _, 1 -• R c.: s',..e i.J t 1'.� .'1.,� S'"- .
•itrif ,fit, l IIs &...e-- • tom!-S•11% i-...i �,r -, • .I i.
— ----
BBQS -.1.'
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BAT UBS(or Tub/Shower comb.) SHOWERS WATER CLOSETS rrmicii
M[SC(Describe)
DI WASHERS SINKS DRINKING FOUNTAINS
S PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroomsu,k.) VACUUM BREAKERS ELECTRIC WATER HEATERS
- - - - DISCLAIMER/SIGNATUREBIACK
I certify under penalty of perjury that th' information furnished by me is true and correct to the best of my knowledge,and further, that I
am authorized by the owner of the above premises to perform the work for which the permit application is made. I further agree to hold
harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred in the investigation and defense of
such claim), which may be made by any person,including the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the reliance of the city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE I 1 Flc� I`
C.' oo ;� Qidevi DATE $-13/0 y
(Signature) (Title
RELATIONSHIP TO PROJECT 0 Owner 0 Agent X Contractor 0 Architect ❑ Other
FOR OFFICE USE ONLY
o NEW a ADDITION a ALTERATION a REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES o NO BASIC PLAN?
a YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? a YES o NO UP/SEPA/SU? a YES a NO
PLATTED LOT? a YES o NO DEMO PERMIT REQUIRED? o YES ❑NO
Bulletin/1100—March 30,2004 Page 2 of 4 k\Handouts—RcviscdWcrmit Application